John Crimmins

@DrJaneMunro @Atul_Gawande @nytimes Primary care is the one thing successive Federal governments steadfastly refuse to invest in It’s inexpensive, and proven highly effective Go figure

Dear #hospital Doc, Seeing a patient in clinic, and then telling them to see their GP to arrange bloods & imaging FOR YOU, and have the results forwarded to you including having radiology transfer images across systems, IS JUST LAZY, and possibly not #Medicare rebateable.

Lovely patient came in and told me they'd 'solved the #Medicare problem'. "If you just ask everyone for $10 that should help cover increasing costs". They were #flabbergasted when I said that was illegal, and that GPs have been asking for it, but Gov wouldn't change it. #auspol

Unnecessary hospital visits cost around $540 per presentation. That’s it. That’s the Tweet. #justaGP #MedTwitter @Mark_Butler_MP @Dom_Perrottet @bronnietaylor

@Peter_Fitz As a citizen of one of those Cwth members that’s not a republic, it felt intrusive to wake up one morning two weeks ago with a new HoS and no say in the matter.

why did @qantas scrub all the frequent flyer points off its customers during Covid whilst @VirginAustralia did not? My alligiance is now to Virgin and my recent flight to Darwin 5 stars

Voting for a new @RACGPPresident starts today and the field is large and interesting but we need someone not in the existing RACGP committees and councils as we cannot negotiate with a Covid headwind that got us huges changes under Dr Karen so now we need a savvy negotiator

@DrJaredDart @ian_hickie @stephenjduckett @ALeighMP @afels1 @ozprodcom This is only true if we continue a fee for service payment system

@ian_hickie @stephenjduckett @ALeighMP @afels1 @ozprodcom Psychiatrists, psychologists all cap training numbers. Non-GP Colleges are@most notorious for this.

Graph on fees and rebates for GP attendances

@theMJA @GPswampwarrior Most mental health is handled very well by GPs and very few actually require a referral to a psychaitrist especuially as a Psychologist is a far better option in nearly all cases-I always wonder why Psychiatry is seen as more than a special interest

Myth-busting: role of the GP in primary mental health care … A/Prof Louise Stone (@Gpswampwarrior) & colleagues respond #freeaccess in InSight+ … "Using mental health item numbers as a proxy for clinical activity is deeply misleading" … insightplus.mja.com.au/2022/30/myth-b… #medtwitter

@QLDCountryGP @ian_hickie @Mark_Butler_MP Prof Hickie must offer evidence for his published claims about producivity and a broken system otherwise its not really relevant to the real debate on preserving the GP as the key Dr in the Australian health system who actually do make a difference

@ian_hickie @Mark_Butler_MP @ian_hickie distain for general practice is weird @Mark_Butler_MP. The only specialty that looks at the whole person, & does it incredibly efficiently. Millions of MH specific GP consults p.a. for just 8% of the MH budget. Better access to MH care includes better access to GP.

smh.com.au/national/i-m-t… The ‘GP Crisis’ Media blitz is on; but when the model is broken, productivity is low, workforces don’t exist and pumping in more money is not a great option-perhaps its time for real reform focused on innovation and better care….⁦@Mark_Butler_MP⁩

@MaritaCowie @rdaa @ACRRM @RuralDoctorsAus @RDANSW Great to have known Geoff as a fellow Rural Doc and Rural educator

VALE Dr Geoff White OAM FACRRM and past @RDAA President. Friend and colleague to so many. Rural medicine will be poorer for your passing. RIP.

@TcameronTodd @joegarra61 @96mitchclarke @DannyHill_VAU Why do we have ED staff managuing aged care??? rather than payoing GPs better as they are the Dooctors with the real skills in this area

@joegarra61 @96mitchclarke @DannyHill_VAU Yeah tell me you aren’t investing in GP without telling me

From next week, the virtual ED program will be rolled out to aged care facilities. Between 80-100 aged care residents are expected to use the service everyday. Vic Ambulance Union’s @DannyHill_VAU says paramedics are currently spending a lot of time with aged care patients.

@Mon4Kooyong At the height of the pandemic politicians are really playing avoidance and acting out

I don’t appreciate being interrupted while speaking on serious risks of repeated covid infections. I particularly don’t appreciate being interrupted by shouting LNP MPs who refuse to wear masks. We all have a duty to look after each other. Here & everywhere. Put your mask on!

@imaanjoshi @DrRCoull @DoverMarian @Mark_Butler_MP Prior to that strike I got $13 call out to attend say a major MVA in a small rural hospital a situation no city Doctor or health minister can ever really understand so why are they directing policy

@imaanjoshi @DrRCoull @DoverMarian @Mark_Butler_MP In the 90s the NSW state Govt only started to pay rural GPs better when we all walked out and I still got paid 20% for a low risk delivery in a remote town as a O&G in a city hospital done by their Reg what an ongoing joke

@BenisonOReilly And the visit to ED costs taxpayers at least $250 to $350 per visit vs a GP visit at about $60 to $80 minister @Mark_Butler_MP and thge CHO wonders why there is a GP shortage especially rurally

@BigBadDenis @Mark_Butler_MP We've been saying this for six months and he only just realised?

@NSWHealth This is a public health failure and questions what confidence NSW residents should have in Govt employed health experts

COVID-19 update – Saturday 30 July 2022 In the 24-hour reporting period to 4pm yesterday: - 96.8% of people aged 16+ have had one dose of a COVID-19 vaccine* - 95.3% of people aged 16+ have had two doses of a COVID-19 vaccine*